Cura Well Plan

Cancer guide

Colon cancer

By Cura Editorial Team ·

One of the most preventable cancers — screening from age 45 catches most cases before they become invasive, and MSI/MMR testing shapes modern treatment.

What to know first

  • Screening (colonoscopy or stool-based tests) is recommended starting at 45.
  • Rising rates in adults under 50 — don't dismiss symptoms because of age.
  • MSI/MMR testing determines whether immunotherapy is an option.

When to see a doctor

  • Blood in the stool or rectal bleeding
  • A change in bowel habits lasting more than a few weeks
  • Unexplained anemia, weight loss, or abdominal pain

What's new in colon cancer treatment (2026)

Recent approvals and trial results — and the questions to ask your oncologist about whether any of it applies to you. Not every option fits every person.

Immunotherapy pair approved for MSI-H colon cancer

The FDA approved nivolumab plus ipilimumab for advanced MSI-H/dMMR colorectal cancer after a phase 3 trial showed longer progression-free survival than chemotherapy.

May apply to: MSI-H or dMMR metastatic colorectal cancer

Ask your oncologist:

  • Has my tumor been tested for MSI or MMR?
  • Would immunotherapy be a better first choice than chemo for me?

Source: FDA

Full approval for BRAF-mutant colon cancer combo

Based on the phase 3 BREAKWATER trial, the FDA gave full approval to encorafenib with cetuximab and chemotherapy as a first treatment for BRAF V600E colorectal cancer.

May apply to: BRAF V600E-mutant metastatic colorectal cancer

Ask your oncologist:

  • Was my tumor tested for BRAF?
  • Should this combination be my first treatment?

Source: FDA

Reviewed September 25, 2026.

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Frequently asked questions

What are the early warning signs of colon cancer?

The signs that most often lead to a colon cancer diagnosis are: blood in the stool or rectal bleeding; a change in bowel habits lasting more than a few weeks; unexplained anemia, weight loss, or abdominal pain. Any of these lasting more than a couple of weeks is worth a same-week appointment, even though most turn out to be something else.

When should I see a doctor about possible colon cancer?

See a doctor promptly if a symptom is new, persistent, or getting worse rather than better. Describe when it started, how often it happens, and what makes it better or worse — that detail is what decides whether you get imaging or testing at the first visit.

What should I know first about colon cancer?

One of the most preventable cancers — screening from age 45 catches most cases before they become invasive, and MSI/MMR testing shapes modern treatment. Screening (colonoscopy or stool-based tests) is recommended starting at 45. Rising rates in adults under 50 — don't dismiss symptoms because of age. MSI/MMR testing determines whether immunotherapy is an option.

What questions should I ask after a colon cancer diagnosis?

Ask what the exact diagnosis is and how it is staged, what the treatment options are and in what order they would happen, what the goal of treatment is, which side effects to expect, and whether a second opinion or clinical trial makes sense for your situation.

Related guides

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Before the first treatment decision

If a start date is on the calendar, or you feel lost between diagnosis and the first infusion, build a first-visit brief on the page: what's known, what's missing, what to ask. Homework, not a treatment plan.

Cura Brief is educational. It is not medical advice, a diagnosis, or a treatment plan. Confirm everything with your oncology team. If this is an emergency, call emergency services. Email is not an emergency line.

Prefer email? hello@curawellplan.com

After your biopsy or test

Waiting for results is its own kind of hard. Cura has a plain-language guide to what the wait actually means — and what to do while you wait.

How long do biopsy results take?